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A struggling hospital in rural Pennsylvania turns to GoFundMe in its fight for survival

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A struggling hospital in rural Pennsylvania turns to GoFundMe in its fight for survival


Bucktail Medical Center, a tiny hospital in the sparsely populated Pennsylvania Wilds region, has launched a GoFundMe campaign to help keep its doors open.

The nonprofit, which has been losing between $100,000 and $150,000 a month, so far has found little resonance on the online fundraising platform since launching the campaign at the end of August. As of Saturday, the 16-bed hospital in South Renovo, in the north-central part of the state, has raised just $12,180 of its $1.5 million goal.

Hospital CEO Timothy Reeves said in an interview Thursday that in addition to the GoFundMe appeal, he has been in touch with many state and federal government officials to seek help for the hospital, which employs 85 people.

“We’re not just sitting here waiting for things to happen,” he said.

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Bucktail is among the estimated 30% of rural hospitals across the country that are considered at risk.

If it closes, the roughly 3,100 full-time residents in its primary service area would have to travel significantly farther for emergency services or for inpatient care. The closest emergency room would be UPMC Lock Haven, 29 miles down a two-lane road along the West Branch of the Susquehanna River, according to Bucktail’s GoFundMe page. UPMC ended inpatient and surgical services there in April.

» READ MORE: Bucktail Medical Centers woes date back years.

The nearest closest hospital with inpatient services is Geisinger Jersey Shore, 40 miles from Bucktail.

Western Chester County residents encountered that sort of disruption when Tower Health closed Jennersville and Brandywine Hospitals in late 2021 and early 2022.

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Difficult economics

Like all rural hospitals, Bucktail faces economic challenges. Rural hospitals serve relatively small populations and don’t have enough business to cover their fixed costs. Last year, state data show that Bucktail averaged about three emergency department visits a day, while paying a doctor, a registered nurse, and a licensed practical nurse to provide 24-hour coverage.

Even on a busy day, with seven or eight patients coming to the emergency department, “we’re still losing money,” Reeves said. The median number of emergency department visits at Pennsylvania hospitals last year was nearly 30,000, according to Pennsylvania Department of Health data.

» READ MORE: Bigger towns in northern Pennsylvania lose their hospitals, too.

Bucktail, which was founded in 1909 as Renovo Hospital and moved to its current location in 1979, has lots of company in jeopardy. A report by the nonprofit Center for Healthcare Quality & Payment Reform estimated that as of July more than 600 rural hospitals nationwide — more than 30% of the total — are at risk.

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In Pennsylvania, 11 of 41 rural hospitals are at risk of closing over the next six or seven years, according to the Pittsburgh policy group’s report. Five of these could close within three years, it said. The group did not identify which hospitals.

Pennsylvania rural health experiment

State and federal authorities are looking at ways to make rural hospitals financially sustainable.

In cooperation with federal Medicare and Medicaid authorities and private health insurers, Pennsylvania in 2019 launched a pilot project to see if changing the way rural hospitals are paid could help them financially, improve the health of the populations they serve, and save insurers money.

Under what is called the Pennsylvania Rural Health Model, each of the 18 participating hospitals receives a predetermined amount of money each year to cover all inpatient and hospital-based outpatient services, regardless of the number of patients they see.

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» READ MORE: Children’s Hospital of Philadelphia CEO collected a $5.6 million bonus in 2021.

An analysis of the program’s first three years found that Medicare spending per patient per month was lower in participating hospitals than the national rural average and that 80% of the participating hospitals had quality measures that exceeded national averages, according to the national law firm Manatt, Phelps & Phillips LLP.

But when the rural health program was conceived, in 2017, Bucktail was in a bankruptcy that lasted three years. “We did look at it back then, but because of our financial status they didn’t want to jeopardize the success of their program, understandably,” Reeves said.

Other financial troubles

In addition to the generally tough economic conditions for small rural hospitals, Bucktail has faced other financial setbacks, Reeves said. An employee retention tax credit worth $381,941 has been delayed indefinitely.

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In August, the Pennsylvania Department of Human Services, which runs the state’s Medicaid health insurance program for low-income people, notified Bucktail that it had to return $255,467 in overpayments from the 2018-19 fiscal year.

Those setbacks ensured that he hospital, which had between $6 million and $7 million in revenue in the fiscal year that ended June 30, Reeves estimated, would remain in a tight spot financially, with another payroll due Friday.

“I believe that we’ll have that covered, but it’s really difficult to operate from payroll to payroll. That’s not taking care of a lot of our vendors, either, so those costs pile up,” he said.



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Pennsylvania

High levels of respiratory illness reported across Pennsylvania, New Jersey and Delaware

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High levels of respiratory illness reported across Pennsylvania, New Jersey and Delaware


NEWARK, Del. (WPVI) — If you feel like everyone around you is coughing and sneezing, it’s not your imagination.

The CDC says the level of respiratory illness, including flu, COVID, and RSV, is classified as “high” in Pennsylvania and New Jersey, while Delaware is classified as “very high.”

Doctors say they’re seeing it all.

“Everyone is sick. We have RSV going on. We have flu. We have COVID going on. We have GI distress. Essentially, you’re getting sick in some fashion,” said Dr. Theresa Metanchuk, the Regional Clinical Director for ChristianaCare.

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Dr. Claiborne Childs, the vice president of medical affairs at Riddle Hospital, is seeing the same thing.

“It’s sort of a confluence of all the different viruses all together. We’re seeing an uptick all around the hospital,” Childs said.

We’re at the center of the respiratory illness season.

“We still have some time to go. We have the rest of the month of January, February and early March,” said Dr. Childs.

That means there is still time to protect yourself with vaccines.

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Dr. Metanchuk said the latest statistics show this year’s flu shot is 40% beneficial, which she said is “better than nothing.”

“They’re meant to keep you out of the hospital. They are meant to limit how severe the illness makes you,” she said.

As people heal from those illnesses, their bodies are at greater risk.

“Whenever you get sick, our immune system has to get a chance to recuperate, bounce back, so we’re more likely to get sick with something else,” said Dr. Metanchuk.

Staying hydrated, working out, and eating healthy – common New Year’s resolutions – are good ideas for preventing these illnesses too.

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Copyright © 2025 WPVI-TV. All Rights Reserved.



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Wegmans expands to new market with upcoming store

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Wegmans expands to new market with upcoming store


Wegmans on Monday announced plans to build a location in Cranberry Township, Pennsylvania, part of the Pittsburgh metropolitan area.

The 115,000-square-foot store will sit on 13 acres on Cool Springs Drive, adjacent to the UPMC Lemieux Sport Complex, an outpatient sports medicine facility and the primary training home for the NHL’s Pittsburgh Penguins.

“We’ve received thousands of requests for a Wegmans in the Pittsburgh region since opening our first Pennsylvania store over 30 years ago,” Dan Aken, vice president of real estate and store planning, said in a statement. “We’re excited to have finally found the right location to bring Wegmans to the Pittsburgh area.”

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The new location will be part of the Cranberry Springs mixed-use development, which includes luxury single-family homes and apartments, Class A office buildings and other retail operations, including restaurants.

How many jobs expected at new Wegmans?

The company expects to hire 400 to 500 employees, the majority of them local.

Timeline for new Wegmans

A timeline for construction and opening has not yet been determined.

How many stores does Wegmans have?

Headquartered in Rochester, Wegmans has 111 stores along the East Coast.

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Reporter Marcia Greenwood covers general assignments and has an interest in retail news. Send story tips to mgreenwo@rocheste.gannett.com. Follow her on X @MarciaGreenwood.





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‘The labor shortage will only get worse:’ Trump deportation plans could hit Pa. agriculture hard • Pennsylvania Capital-Star

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‘The labor shortage will only get worse:’ Trump deportation plans could hit Pa. agriculture hard • Pennsylvania Capital-Star


Pennsylvania is home to an estimated 155,000 undocumented migrants, according to the American Immigration Council. And around 30,000 of them may work in the state’s agricultural sector, according to estimates from the Pennsylvania Department of Agriculture.

With the state’s agriculture industry already facing a workforce shortage, President-elect Donald Trump’s promise to begin a mass deportation program at the start of his term next week could exacerbate the problem.

Lerae Kroon, a supervising attorney at the Pennsylvania Farmworker Project, said that a mass deportation program like Trump has pitched would “cause chaos and pain for everyone in the community.”

“Many undocumented workers live with and support multi-generational and mixed status families, who will be in economic distress,” Kroon said. “The labor shortage will only get worse as folks are swept up in raids – and even documented workers may decide that the risk is not worth it and leave agricultural jobs.”

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According to Kroon, increased hostility towards immigration is already being felt in Pennsylvania.

“We have heard from clients and community partners who are scared,” Kroon said. “Anti-immigrant rhetoric is already driving folks further into the shadows, and we expect that will continue.”

Pennsylvania elected officials are urging the incoming Trump administration to proceed with caution, ensuring that any changes to the immigration system ensure that seasonal workers are able to enter the country legally.

Gov. Josh Shapiro addresses reporters at the Pa. Farm Show on Jan. 8, 2025 (Ian Karbal/ Capital-Star)

‘Let’s see what the president-elect actually decides to do’

Speaking to a crowd at the Pennsylvania Farm Show last week, Gov. Josh Shapiro called filling workforce shortages in the state’s agriculture sector “critically important.”

Shapiro said his administration has made investments in agricultural education and apprenticeship programs to bring younger people into the workforce. He also said it’s important to ensure that immigrant and seasonal workers, who make up a large share of the agricultural workforce, are able to work in the country legally.

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Though Shapiro didn’t mention Trump by name, the president-elect has repeatedly promised to enact “the largest mass deportation program in American history,” which he’s said will begin on his first day in office in less than a week. Trump has also floated ending birthright citizenship and potentially deporting entire families with mixed immigration status.

“We also need a thoughtful, responsible immigration reform at the federal level that prioritizes the needs of our ag industry,” Shapiro said. “I hope our federal partners will be able to come together to accomplish that.”

Asked during a news conference after his speech how he would support agricultural workers and business owners if Trump takes a more extreme approach to his deportation plans, Shapiro was noncommittal.

“Let’s see what the president-elect actually decides to do here — he’s said a lot of different things,” Shapiro said. “Our administration will be prepared.”

The Pennsylvania Department of Agriculture has estimated that nearly half of Pennsylvania’s crop farm workers, roughly 30,000 people, may be undocumented immigrants, according to 2017 census numbers. The American Immigration Council, an immigration advocacy group, estimates that immigrants, both documented and undocumented, make up around 9.7% of the state’s total workforce, according to 2022 data, and that a large share work in the agricultural sector generally.

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According to Bailey Fisher, the federal affairs specialist at the Pennsylvania Farm Bureau, some Pennsylvania industries that rely heavily on migrant labor include dairy, mushroom, fruit and Christmas tree farms.

“The jobs that foreign-born farm workers fill are specialized, technical and grueling,” said Kroon, speaking to why migrant workers are so prominent in the agricultural sector. “They are also historically low-paying. As labor shortages in agriculture continue to grow, the work still has to be done and some undocumented workers are willing to do it.”

Trump has said at times that he would focus his early deportation efforts on criminals. He also told NBC’s Meet The Press after winning election that he would be open to deporting all undocumented immigrants in the country over the course of his next term. 

‘A devastating impact’ 

Shapiro’s response to Trump’s statements are similar to other remarks he’s made since Trump’s election in November. Other Democratic governors have taken a more hard-line stance, saying they will try to block deportation efforts or instruct law enforcement in their states not to cooperate with federal agents. 

As governor, Shapiro could take a leading role in shaping the state’s response to any deportation plans enacted by Trump. And he has some history of pushing back on Trump’s immigration policies. When he was Pennsylvania’s attorney general, Shapiro joined a multistate lawsuit to stop Trump’s family separation policy that saw young children taken from their parents. He also pushed back on Trump’s attempts to ban Muslims traveling to the United States and his first administration’s policies that made it more difficult for immigrants living in the U.S. to change their immigration status.

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Pennsylvania state House Rep. Jose Giral (D-Philadelphia), vice chair of the Pennsylvania Legislative Latino Caucus and a member of the House Labor and Industry Committee, called for more measured immigration reform.

“President-Elect Trump’s mass deportation plan would have a devastating impact on our agriculture industry – our largest industry generating tens of billions of dollars in revenue and economic activity every year – and losing these workers would send everyone’s grocery bill skyrocketing,” Giral told the Capital-Star in a statement. “The federal government should focus on immigration reform instead of targeting hardworking and essential farm workers.”

But some Democrats, like Pennsylvania Sen. John Fetterman, have shown more willingness to work with Republicans on immigration reform. Fetterman recently signed on as a cosponsor of the GOP-led Laken Riley Act, named for a young Georgia woman whose murder by an undocumented immigrant who had previously been arrested for shoplifting and endangering a child became a rallying cry for the Trump campaign’s immigration proposals. The vote in Pennsylvania’s House delegation was bipartisan. Democratic Reps. Brendan Boyle and Chris Deluzio voted for the bill along with all Republicans from the state. The Senate has yet to take a final vote on the bill.

The bill would require Immigrations and Customs Enforcement agents to detain undocumented immigrants who are charged with theft-related crimes like burglary and shoplifting, regardless of whether they’re convicted. It would also give state attorneys general greater power to sue the federal government for harm to their citizens caused by undocumented immigrants.

Recent polling shows that support for deporting undocumented immigrants has grown among the American public.

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U.S. Sen Dave McCormick (R-PA) toured the Pennsylvania Farm Show on Jan. 11, 2025. (John Cole/Capital-Star)

Pennsylvania’s recently-elected Sen. Dave McCormick (R-Pa.) also addressed immigration at the Farm Show on Saturday, saying that immigration reform should follow efforts to increase border security and slow immigration.

“Job one has to be closing the border, but I’m hopeful that as we get a little further into the president’s term, we’ll also be able to return to legal immigration reform,” McCormick said. 

Speaking specifically to the needs of Pennsylvania farmers, McCormick said, “in this community in particular, there are needs for H-2A and other reforms that allow us to have legal agricultural workers,” McCormick told the Capital-Star. “And these are jobs that are not replacing American workers. These are jobs that are left unfilled unless we have legal immigration reform

‘We’re already struggling to get enough workers’

As it stands, the H-2A visa program, which allows U.S. employers to bring in foreign workers to fill temporary agriculture jobs, may not be able to bring in enough people to make up for the loss of undocumented workers if Trump enacts a broad deportation program.

“The H-2A program, in its current capacity, I don’t know if it could handle that,” said Fisher, the federal affairs specialist at the Pennsylvania Farm Bureau. “We’re already struggling to get enough workers through the program.”

Fisher said the Pennsylvania Farm Bureau isn’t taking a stance in debates over immigration, but is talking with the incoming Trump administration to convey the seriousness of the worker shortage and seasonal migrant workers’ roles in filling it. 

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The Pennsylvania Farm Bureau is advocating to let visa holders work for a full year, as opposed to just six months, and to make it easier for farmers to apply for the program.

Fisher also said that getting enough workers isn’t the only issue with the program. Employers relying on it have to fill out a hefty amount of paperwork, sometimes requiring them to hire specialized consultants. And with strict housing standards and transportation requirements, hiring seasonal workers can become expensive.

“We of course want to make sure employees feel safe and healthy,” Fisher said. “But we also want to have some practicality to it.”

But ultimately, Fisher said, reform may be difficult.

“The H-2A program is such a beast,” Fisher said. 

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And there’s another issue. “We understand immigration is related to ag labor with the H-2A visa program, but whenever you bring up immigration it turns into this politicized topic and you can never get anything done.”

Fisher said she’s begun to hear concerns from business owners in the Pennsylvania agricultural sector about the potential impacts of a deportation program. But, like Shapiro, she’s telling them, “wait and see what happens. Right now a lot of this can be just rumors.”

Capital-Star reporter John Cole contributed.



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